Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible
Identifieur interne : 000F75 ( Main/Merge ); précédent : 000F74; suivant : 000F76Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible
Auteurs : Luisa Limongelli [Italie] ; Angela Tempesta [Italie] ; Vito Crincoli [Italie] ; Gianfranco Favia [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
Dental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant placement in the anterior mandible with flapless technique. A 45-year-old female patient underwent placement of four immediately postextractive implants in the anterior mandible using flapless technique. During the procedure, the patient referred intense acute pain and worsening sign of airway obstruction, dysphagia, dyspnea, and speech difficulties. Bimanual compression of the mouth floor, lingual surface of the mandible, and submental skin was maintained for approximately 25 minutes in order to stop the bleeding. Computerized tomography highlighted the massive lingual and sublingual haematoma. The symptoms and signs had almost completely resolved in the next 48 hours. The prevention of these complications is mandatory with clinical and CT analyses, in order to highlight mandibular atrophy and to select carefully the correct length and angulation of bone drilling and to keep more attention to the flapless technique considering the elevation of a lingual mucoperiosteal flap to access the mandibular contour intraoperatively and to protect the sublingual soft tissues and vasculature in high risk cases.
Url:
DOI: 10.1155/2015/839098
PubMed: 26075110
PubMed Central: 4449918
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sortKey="Limongelli, Luisa" sort="Limongelli, Luisa" uniqKey="Limongelli L" first="Luisa" last="Limongelli">Luisa Limongelli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari</wicri:regionArea><wicri:noRegion>70124 Bari</wicri:noRegion></affiliation></author><author><name sortKey="Tempesta, Angela" sort="Tempesta, Angela" uniqKey="Tempesta A" first="Angela" last="Tempesta">Angela Tempesta</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari</wicri:regionArea><wicri:noRegion>70124 Bari</wicri:noRegion></affiliation></author><author><name sortKey="Crincoli, Vito" sort="Crincoli, Vito" uniqKey="Crincoli V" first="Vito" last="Crincoli">Vito Crincoli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari</wicri:regionArea><wicri:noRegion>70124 Bari</wicri:noRegion></affiliation></author><author><name sortKey="Favia, Gianfranco" sort="Favia, Gianfranco" uniqKey="Favia G" first="Gianfranco" last="Favia">Gianfranco Favia</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari</wicri:regionArea><wicri:noRegion>70124 Bari</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Dental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant placement in the anterior mandible with flapless technique. A 45-year-old female patient underwent placement of four immediately postextractive implants in the anterior mandible using flapless technique. During the procedure, the patient referred intense acute pain and worsening sign of airway obstruction, dysphagia, dyspnea, and speech difficulties. Bimanual compression of the mouth floor, lingual surface of the mandible, and submental skin was maintained for approximately 25 minutes in order to stop the bleeding. Computerized tomography highlighted the massive lingual and sublingual haematoma. The symptoms and signs had almost completely resolved in the next 48 hours. The prevention of these complications is mandatory with clinical and CT analyses, in order to highlight mandibular atrophy and to select carefully the correct length and angulation of bone drilling and to keep more attention to the flapless technique considering the elevation of a lingual mucoperiosteal flap to access the mandibular contour intraoperatively and to protect the sublingual soft tissues and vasculature in high risk cases.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tarakji, B" uniqKey="Tarakji B">B. Tarakji</name></author><author><name sortKey="Nassani, M Z" uniqKey="Nassani M">M. Z. Nassani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Standring, S" uniqKey="Standring S">S. Standring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vandewalle, G" uniqKey="Vandewalle G">G. Vandewalle</name></author><author><name sortKey="Liang, X" uniqKey="Liang X">X. Liang</name></author><author><name sortKey="Jacobs, R" uniqKey="Jacobs R">R. Jacobs</name></author><author><name sortKey="Lambrichts, I" uniqKey="Lambrichts I">I. Lambrichts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosano, G" uniqKey="Rosano G">G. Rosano</name></author><author><name sortKey="Taschieri, S" uniqKey="Taschieri S">S. Taschieri</name></author><author><name sortKey="Testori, T" uniqKey="Testori T">T. Testori</name></author><author><name sortKey="Del Fabbro, M" uniqKey="Del Fabbro M">M. Del Fabbro</name></author><author><name sortKey="El Haddioui, A" uniqKey="El Haddioui A">A. El Haddioui</name></author><author><name sortKey="Gaudy, J F" uniqKey="Gaudy J">J.-F. Gaudy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pigadas, N" uniqKey="Pigadas N">N. Pigadas</name></author><author><name sortKey="Simoes, P" uniqKey="Simoes P">P. Simoes</name></author><author><name sortKey="Tuffin, J R" uniqKey="Tuffin J">J. R. Tuffin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Vera, J L D C P" uniqKey="De Vera J">J. L. D. C.-P. de Vera</name></author><author><name sortKey="L Pez Arcas Calleja, J M" uniqKey="L Pez Arcas Calleja J">J. M. López-Arcas Calleja</name></author><author><name sortKey="Burgue O Garcia, M" uniqKey="Burgue O Garcia M">M. Burgueño-García</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Loukas, M" uniqKey="Loukas M">M. Loukas</name></author><author><name sortKey="Kinsella, C R" uniqKey="Kinsella C">C. R. Kinsella</name></author><author><name sortKey="Kapos, T" uniqKey="Kapos T">T. Kapos</name></author><author><name sortKey="Tubbs, R S" uniqKey="Tubbs R">R. S. Tubbs</name></author><author><name sortKey="Ramachandra, S" uniqKey="Ramachandra S">S. Ramachandra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hwang, H D" uniqKey="Hwang H">H. D. Hwang</name></author><author><name sortKey="Kim, J W" uniqKey="Kim J">J. W. Kim</name></author><author><name sortKey="Kim, Y S" uniqKey="Kim Y">Y. S. Kim</name></author><author><name sortKey="Kang, D H" uniqKey="Kang D">D. H. Kang</name></author><author><name sortKey="Kwon, T G" uniqKey="Kwon T">T. G. Kwon</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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